Provider Demographics
NPI:1649946419
Name:1THE SKIN CLINICS OF TEXAS PLLC
Entity type:Organization
Organization Name:1THE SKIN CLINICS OF TEXAS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BELK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-955-7008
Mailing Address - Street 1:117 HUGO ST STE C
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-4328
Mailing Address - Country:US
Mailing Address - Phone:830-792-3552
Mailing Address - Fax:
Practice Address - Street 1:117 HUGO ST STE C
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-4328
Practice Address - Country:US
Practice Address - Phone:830-792-3552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty